JOHN ANTHONY DIFINI MD
NPI 1144216581
Psychiatry & Neurology - Neurology in Camp Lejeune, NC

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547(910) 450-4159(910) 450-4194 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Anthony Difini Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN ANTHONY DIFINI MD (NPI 1144216581) is an individual neurology provider in Camp Lejeune, North Carolina, licensed in North Carolina (35320) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Allen County Regional Hospital, and is a graduate of Georgetown University School Of Medicine (1982).

NPPES Registry Identity

NPI1144216581
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOHN ANTHONY DIFINICredential: MD
Location Address100 BREWSTER BLVD, NAVAL HOSPITALCamp Lejeune, NC 28547-2538
Mailing Address100 Brewster Blvd, Naval HospitalCamp Lejeune, NC 28547-2538 · (910) 450-4159 · Fax (910) 450-4194
Fax(910) 450-4194
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1982
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJune 11, 2013
NPI 1144216581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NC · 35320
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
100 BREWSTER BLVD, Camp Lejeune, NC 28547

Other Identifiers 3

MedicaidN35320SC
Medicaid8928535NC
Medicare UPIND50650

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Anthony Difini Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739166281
PECOS Enrollment IDI20080517000028, I20210802001838, I20210802001899
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services93 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
117 services84 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allen County Regional Hospital

Critical Access Hospitals · Iola, KS
OwnershipGovernment - State
CMS Certification Number171373
Location3066 North Kentucky StreetIola, KS 66749 · Allen County
Emergency services

Wright Memorial Hospital

Critical Access Hospitals · Trenton, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261309
Location191 Iowa BoulevardTrenton, MO 64683 · Grundy County
Emergency services

Hedrick Medical Center

Critical Access Hospitals · Chillicothe, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261321
Location2799 North Washington StreetChillicothe, MO 64601 · Livingston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.86
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Difini's NPI number?

The NPI number for John Difini is 1144216581. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is John Difini located?

John Difini practices at 100 Brewster Blvd Naval Hospital, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4159.

What is John Difini's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is John Difini enrolled in Medicare?

Yes. John Difini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Difini accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica and UnitedHealthcare list John Difini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Difini affiliated with any hospitals?

According to CMS data, John Difini is affiliated with Allen County Regional Hospital, Wright Memorial Hospital and Hedrick Medical Center.

When was this NPI record last updated?

The NPPES record for John Difini was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.